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1174650253
STEPHEN Y PONG
SEATTLE, WA
NPI
1174650253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00010069)
Enumeration Date
2007-02-27
Last Update Date
2007-09-25
Business Address
-- STEPHEN Y PONG DDS
780 8TH AVE S. SUITE 100
SEATTLE, WA 98104-3033
Phone number: 206-788-3700
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Mailing Address
-- STEPHEN Y PONG DDS
PO BOX 24911
SEATTLE, WA 98124-0911
Phone number: 206-788-3612
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